行腹部手術病人住院期間罹患登革熱之護理經驗

住院罹患非預期的另一種疾病，容易讓人焦慮不安。本文敘述一位70歲的憩室炎患者，住院行腹部手術期間又罹患登革熱之護理經驗，護理期間自2015年9月21日至10月3日，筆者運用Gordon十一項功能性健康型態評估，確立個案有急性疼痛、營養少於身體所需、焦慮及特定知識缺失等健康問題。照護期間，運用疼痛緩解措施，減輕個案傷口及疾病產生的疼痛，同時與醫療團隊及個案共同訂定個別性營養計畫，採少量多餐方式，達到身體所需的熱量，並傾聽個案感受，引導個案說出內心想法，運用團隊資源提供並澄清相關傳染疾病防護知識，減輕擔憂疾病預後的焦慮，並強化個案對疾病的因應能力，避免再次感染。藉此護理經驗與其他醫療人員分享，做為此類病人照護之參考。

關鍵字

登革熱；腹部手術；憩室炎

並列摘要

It is easy to be anxious about having an unexpected illness in hospital. This article describes the nursing experience of a 70-year-old diverticulitis patient who suffered from dengue fever during an inpatient abdominal operation. During the protection period from September 21, 2015 to October 3, the writer used Gordon's 11 Functional Health Assessment program, then determined the case experienced acute pain, had less nutrition than normal body requirements, anxiety, and lacked specific knowledge. During the care period, pain relief measures were applied to reduce the pain caused by the wounds disease. At the same time, the author worked with the medical team and the patient to formulate an individual nutrition plan. The patient was guided to express his inner thoughts, team resources were used to provide and clarify relevant infectious disease protection knowledge, reduce anxiety about the prognosis of the disease, and strengthen the patient's ability to respond to the disease to avoid reinfection. It is hoped this nursing management experience can be shared with other medical staff as a reference for the care of such patients.

並列關鍵字

dengue fever ； abdominal surgery ； diverticulitis

參考文獻

何建翰、李伊真、陳晶瑩、李龍騰(2015)．登革熱：臨床診斷、處置與防治．台灣家庭醫學雜誌，25(3)，174-185。doi:10.3966/168232812015092503002

許玉娟、成佳憲、李章銘、陳佳慧(2014)．食道癌患者的營養改善策略．台灣癌症醫學雜誌，1(1)，3-13。doi: 10.6323/ JCRP.2014.1.1.01

郭曉萱、陳偉武(2016)．HER2陽性轉移性乳癌治療新希望－從護理的觀點談賀癌寧(trastuzumab emtansine)及其照護．護理雜誌，63(5)，121-124。doi: 10.6224/JN.63.5.121

郭雅琦、劉仁沛、季瑋珠(2017)．個人化之營養支持對於接受手術治療之大腸直腸癌病患其營養狀態、生活品質之影響．台灣衛誌，36(3)，259-272。

黃惠美、郭素真、王靜慧、張議文、周幸生(2012)．建立成人癌症病人疼痛非藥物處置之臨床照護指引．榮總護理，29(2)，145-158。doi:10.6142/VGHN.29.2.145

國際替代計量

行腹部手術病人住院期間罹患登革熱之護理經驗

全文下載

主題瀏覽